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General NPI Number Information
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NPI Number | 1053398586
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Entity Type | Organization
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Legal Business Name | YOUTH FOCUS INC
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 405 PARKWAY STE A
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City | GREENSBORO
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State | NC
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Zip | 27401-1693
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Country | US
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Telephone | 336-333-6853
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Fax | 336-271-2031
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Provider Business Mailing Address
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Address Line | 405 PARKWAY STE A
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City | GREENSBORO
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State | NC
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Zip | 27401-1693
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Country | US
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Telephone | 336-274-5909
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Fax | 336-274-3622
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER LEWIS
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Credential |
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Telephone | 336-274-5909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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